Vassell Klaus, Kerline

Vassell Klaus, Kerline is an individual health care provider with primary practice located at 1062 Barnes Road Suite 102, Wallingford CT 06492. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Vassell Klaus, Kerline can be contacted via phone (203) 294-6328.

Contact Information

Primary practice address
1062 Barnes Road Suite 102 Wallingford CT 06492
Phone: (203) 294-6328
Fax: (203) 294-6346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 035161 Connecticut
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 035161 Connecticut

Profile Details

NPI number 1427134766
LBN Legal business name Vassell Klaus, Kerline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2006
Last updated Jul 8th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427134766 NPPES
Other 996984 AETNA
Other PH88980 AETNA
Other OQ2727 AETNA
MEDICAID 001351618 AETNA
Other 035161 AETNA

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